Sarah Larsen-Astrones

Sarah Larsen-Astrones is a Licensed Clinical Professional Counselor (LCPC) in Maryland and a Licensed Independent Mental Health Practitioner (LIMHP) in Nebraska with 13 years of professional experience. She focuses on stress, anxiety, self-esteem, motivation, and coping with life changes, and also helps people who struggle with concentration, memory, and focus related to neurodivergence. She works in English and practices from Maryland.

She draws on evidence-based therapeutic techniques to help people clarify what matters to them and to manage overwhelming feelings. Sessions are practical and direct. Conversations often include identifying patterns, testing small changes, and building routines that support attention and mood.

Her background includes time as a counseling intern site supervisor and a continuing education course provider at colleges and universities in multiple states. That experience informs how she structures sessions and educational resources. She uses straightforward explanations and concrete steps rather than abstract theory.

Clients commonly bring concerns such as panic or social anxiety, low self-worth, relationship communication problems, midlife questions, or trouble adjusting after major life changes. She also addresses issues like abandonment, attachment dynamics, guilt and shame, and money and financial stress in practical terms.

When attention and executive functioning are part of the challenge, sessions may focus on strategies for organization, memory aids, and ways to improve focus in daily life. Sarah aims to help people experiment with approaches that fit their routines.

To begin, prospective clients complete a short matching questionnaire and then schedule a first session. The practice uses a subscription model that can be canceled at any time, and fees vary with location.

How her approaches translate to online work

Sarah uses evidence-based therapeutic techniques that focus on practical change. One approach emphasizes behavioral strategies - developing small, testable actions to change routines and reduce anxiety symptoms. This helps with panic attacks, social anxiety, and daily stress by creating manageable steps and habits.

Another approach centers on skills for attention and executive functioning. Sessions may teach organization tricks, memory aids, and pacing techniques to support focus and follow-through. These skills are useful when concentration or neurodivergent traits make day-to-day tasks harder.

Finding the right approach is part of the work. Sarah will collaborate with each person to decide which techniques to try based on goals, current challenges, and personal preferences. She checks progress and adjusts strategies as needed rather than committing to a single method from the start.

Confirm current session options before booking, as specific formats are not listed in the biography. Online therapy can make it easier to fit sessions into a busy life - for example by cutting travel time, allowing shorter check-ins, or making it simpler to schedule around work or childcare. Talk with her during the matching process to learn which session formats are available and which will best suit everyday routines.